Organization Active NPI

Samica Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1770757353
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
017478 Issued in NY
Legal business name
SAMICA PHARMACY INC
Doing business as
SAMICA PHARMACY
Practice address
6407 Bay Pkwy
Brooklyn, NY 11204-3930
Phone
(718) 234-4211
Fax
(718) 676-7120
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mahmood Malik
Title
President
Phone
(718) 234-4211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 017478 NY Primary

Addresses

Primary practice location

6407 Bay Pkwy
Brooklyn, NY 11204-3930

Mailing address

6407 Bay Pkwy
Brooklyn, NY 11204-3930

Other identifiers 2

IdentifierTypeStateIssuer
00709182MedicaidNY
3374371OtherOTHER ID NUMBER

Other names 1

  • SAMICA PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

6407 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 234-4211

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1770757353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6407 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6407 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043930",
            "telephone_number": "718-234-4211",
            "fax_number": "718-676-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMICA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-234-4211"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "017478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00709182",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3374371",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAMICA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.